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HCBS State & Federal Requirements

Please find state and federal regulatory information for providers and program participants of Home and Community-Based Services (HCBS)

State Statutes

Chapter 192 Department of Health and Senior Services

  • 192.2000 DSDS Duties
  • 192.2005 Definitions
  • 192.2400-192.2505 Protective Services for Adults: Reporting, Investigations, Employee Disqualification, Criminal Background Check

Chapter 208 Old Age Assistance, Aid to Dependent Children and General Relief

  • 208.865 Definitions – Personal Care Attendant and Vendor
  • 208.895 - 208.896 HCBS Referrals – Department Duties, Assessments, Care Plans, Structured Family Caregiving Waiver
  • 208.900 – 208.930 Personal Care Assistance Services – Eligibility, Consumer and Vendor Responsibilities/Requirements, Electronic Visit Verification (EVV), Denial of Services, Discontinuation of Services

Chapter 660 Department of Social Services

  • 660.023 In-Home Service Providers, Telephone Tracking System

State Regulations

TITLE 19 - Department of Health and Senior Services
Division 15 Division of Senior and Disability Services
Chapter 7 In Home Services Standards  

  • 19 CSR 15-7.021 In-Home Standards

Chapter 8 Consumer-Directed Services 

  • 19 CSR 15-8.00 Definitions
  • 19 CSR 15-8.200 Eligibility
  • 19 CSR 15-8.400 Vendors
  • 19 CSR 15-8.500 Hearing Rights

Division 30 - Division of Regulation and Licensure
Chapter 81 Certification

  • 19 CSR 30-81.030 Evaluation and Assessment Measures for Title XIX Recipients and Applicants in Long-Term Care Facilities

TITLE 13 – Department of Social Services
Division 70 MO HealthNet Division
Chapter 91 - Personal Care Program

  • 13 CSR 70-3.320 Electronic Visit Verification (EVV)
  • 13 CSR 70-91.010 Personal Care Program

Federal Regulations